The Brief

Orange County officials are taking control of services at the county’s signature mental health campus, a move that pushes out a nonprofit organization that was paid tens of millions of dollars in public funds to run it for the last two years.

The action terminates a three-year contract early and comes after a damning audit found the organization, Mind OC, failed to ensure proper staffing and effective outcomes of key services.

LAist obtained the audit, which has not been previously reported, through a public records request. It's the first audit of Mind OC’s management of the mental health campus — which began in October 2022. To date, the county has paid the nonprofit more than $38 million to manage services at the campus, according to county records.

Those services include substance abuse treatment and mental health crisis programs. The campus, located in the city of Orange, served some 3,500 people in fiscal year 2023-2024, according to data provided by the O.C. Health Care Agency.

The public-private effort was created pre-pandemic as county officials came under increasing pressure to deal with a very public homelessness emergency and high-profile incidents involving people experiencing mental health crises. The goal was to create mental health hubs where, regardless of your insurance status, people can find treatment.

The shift in operations at Be Well's Orange campus marks the second time the county has lost confidence in a contractor hired to execute their plan. The previous change in 2022 shut down substance abuse treatment services at the Orange campus for more than a year.

County officials say a change was needed

Veronica Kelley, director of the Orange County Health Care Agency, told LAist that the contract with Mind OC to run the campus will end Sept. 30. "What we don't want to do is continue down a road that we know is not going well," she said.

Kelley said that Mind OC did not meet its contract obligations to bring in funding from private insurance or other private revenue to help offset the cost of taxpayer-funded services. She also said it was costing the county twice as much to pay the nonprofit to run the campus as it would for the county to run it themselves.

"We have switched back to a model that we know works so that it is more efficient and that we can ensure directly that services are being provided in an effective and regulatory required manner," she said.

A spokesperson for Mind OC said the nonprofit has a meeting scheduled with county leaders on Wednesday and declined to make anyone available for an interview until after that meeting takes place. Their three-year contract to run the Orange campus had been set to run through next June.

Mind OC will continue in a more limited role at the Be Well campus in Orange, managing the physical property, according to a joint statement released Tuesday by Kelley and Mind OC CEO Phil Franks. Mind OC also has another lucrative county contract to run an even bigger mental health campus being built in Irvine.

The county health care agency intends to continue working with the onsite subcontractors, Exodus Recovery Inc. and HealthRIGHT 360, "to ensure continued high quality psychiatric crisis and substance use disorder services," according to the news release issued late Tuesday after questions from LAist.

Audit flags lack of training, questionable billing

An audit report from July and subsequent memo from Kelley to the O.C. Board of Supervisors notes 38 problems with Mind OC's management of Be Well’s Orange campus including concerns that lack of oversight could have led to “possible fraud.”

Kelley told LAist that the possibility of fraud was under investigation, and no conclusions had been reached.

Among the issues flagged in the audit:

• Inadequate staffing of crisis programs, which are run by subcontractor Exodus Recovery Inc. The audit notes "numerous occasions" of unanswered calls or instances where calls were rerouted to a call center in Los Angeles. 
• Duplicative billing for residential treatment claims by subcontractor HealthRight360. The audit also notes Mind OC's lack of "consistent and independent monitoring" of HealthRight360 to ensure appropriate billing.
• Failure to ensure subcontractor HealthRight360 provided appropriate services and procedures for treating substance use disorders. 
• No evidence that HealthRight360 employees completed the county's required annual trainings, including on substance withdrawal management. 
• No evidence that mental health providers at the campus followed up with clients after discharge to prevent relapses and link them to continued care.
• Failure to meet the goal of having 26% of the campus' services paid for via private insurance. Currently, according to the audit, revenue from private insurance makes up just 2.6% of the total, meaning public dollars are paying for the remainder.
• Failure to meet the goal, laid out in Mind OC's contract, to refer 95% of clients in the crisis residential program to a lower level of care. Only about half of these clients have been discharged to a lower level of care, according to the audit. 

In Kelley's memo to supervisors about the audit, dated Aug. 15, she wrote that she had taken a call earlier that day from Phillip Franks, Mind OC's CEO, who told her the subcontractor HealthRight360 "was 'not going to make it'” citing billing issues, poor staffing and poor quality of care.

"All of this should have been addressed and known about if [Mind OC] was fulfilling the requirements of the [contract]," Kelley wrote to the supervisors.

Kelley told LAist that following the audit’s findings in July, Mind OC submitted a corrective action plan to the county. She said the county was ending its contract with Mind OC for "convenience," not "for cause."

Vitka Eisen, CEO of HealthRIGHT 360, told LAist that she believed most of the problems flagged in the audit were the result of her organization having to work through Mind OC as an intermediary, instead of working directly with the county, as it does with other public agencies across the state.

"It's an extremely unusual relationship," she said of MindOC's role on the Be Well campus.

HealthRIGHT 360 began operating for the first time in O.C., on the Be Well campus, in December 2023. Eisen said, as a new provider in the county, they've had numerous questions about documentation and billing that would have been more easily answered by county health officials, but "we have to go to MindOC with questions," she said.

LAist reached out to Exodus Recovery Inc. by phone and will update this story if we hear back.

A homeless encampment in Santa Ana's Civic Center Plaza. The encampment was cleared in 2018 as a federal judge and others put pressure on the county to do more to help unhoused people.

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Kirk Siegler

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The backstory

Mind OC, which does business as Be Well OC, was launched in 2017 with the goal of creating several mental health hubs in Orange County funded through both public funds and private health insurance. The organization has had strong support from the O.C. Board of Supervisors, including Supervisor Andrew Do, who helped craft the concept in 2015 as a member of the board's ad hoc committee on mental health services.

Prior to the formation of Mind OC, county officials faced scrutiny from a federal judge for failing to provide adequate mental health services for unhoused people, and failing to fully spend mental health dollars in the county.

Mind OC, and the Be Well campus, which opened in Orange in 2021 as a public-private partnership, were meant to address those problems. Initially, Kelley said, the county ran the Orange campus, and Mind OC managed the property and security. Then, in October 2022, the county signed a contract with Mind OC to oversee all operations and subcontractors at the Be Well campus.

The following year, county health officials raised concerns about the campus' substance abuse treatment contractor Telecare Corp.

Shortly after those concerns were raised, the county shuttered Be Well's residential treatment program, run by Telecare, for more than a year until the county could find a new contractor.

HealthRIGHT 360 took over. The most recent audit from July found similar problems remain — for example, failing to provide required services and needed follow-up with clients after they're discharged.

This past June, the O.C. Board of Supervisors entered into another contract with Mind O.C. to build an even bigger mental health campus — 22 acres — in Irvine. The board approved $40 million in federal pandemic response money for the construction, and at least another $66 million has been provided through state and federal funds.

Kelley said the county's recent decision to cancel its contract with Mind OC only applies to its contract to manage Be Well's campus in Orange.

She also said the contract cancellation would not affect the separate contracts Mind OC has with O.C. cities to handle psychiatric and drug emergencies in lieu of armed police officers.

A volunteer with Wound Walk OC takes the vital signs of a man sleeping in an underpass in central Orange County.

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Responses to the audit and contract termination

Michael Sean Wright, who runs the street medicine group Wound Walk OC and was briefed on the audit and contract termination by LAist, said it showed county officials hadn’t learned from the past.

He pointed back to a 2022 audit that revealed problems with Telecare's operations on the Be Well campus.

"We gave an additional millions of millions of millions of dollars and allowed the same lack of oversight to continue. Mind OC stayed with the keys and the checks," Wright said.

He added that despite Be Well's original promise of expanded substance abuse treatment services in O.C., it's still difficult to find detox and substance abuse programs for people who want them, many of whom are unhoused.

"Time is of the essence," he said. "There is no place that will take you at night."

Supervisor Katrina Foley said the county's decision to take over management of the Be Well campus from Mind OC was part of the "trial and error" that has come along with the county’s efforts to get mental health care to anyone who needs it, regardless of insurance.

"If something isn't working, we have to be willing to pivot quickly in this dynamic environment," she said.

"Making sure that people are trained and in compliance with rules and regulations and systems … that is something that the county behavioral health staff can do maybe better than a private nonprofit," Foley said.

Foley said the county had made "tremendous progress" since the time, in 2016 and 2017, when large encampments clogged the courthouse plaza in Santa Ana and stretched for miles along the Santa Ana riverbed. At the time, many residents in those encampments said they had untreated substance abuse and other mental health problems.

Per a court settlement, the encampments were cleared in 2018 in exchange for the county and O.C. cities agreeing to build more shelters and permanent supportive housing, and agreeing to connect unhoused people with mental health treatment.

"I'm actually very proud of the work that our county staff have done to build out the system of care, but it's an evolving process," she said. "We want to get this right before we complete building the much bigger [Be Well] campus in Irvine," she said.

This story first appeared on The LA Local.

Friends & Family Flea, a new market from the team behind Maum Market, will make its debut Saturday in Koreatown. 

For organizer Arnold Byun, the launch is something of a homecoming. 

Nearly five years ago, Byun and his co-founder, Kioh Park, were living in Koreatown and spending months at Document Coffee Bar dreaming up what would eventually become Maum Market, the Asian makers market they launched in January 2022. The market now has a regular presence at ROW DTLA, where it hosts pop-up markets on Dock Street several times a year.

“The genesis of Maum Market is actually really embedded in Koreatown,” Byun, 31, told The LA Local. “And we have a lot of affection and personal history with Koreatown, so it’s a very personal thing for us just to return to our roots.” 

Most of the 24 vendors participating in the first Friends & Family Flea have some connection to Koreatown, Byun said. Some grew up in the neighborhood, some still live there and others have moved away but retain ties to the area. The vendor list includes apparel brands, artists, jewelry makers, beauty and wellness businesses and food vendors. 

“We’ve been trying to be pretty intentional about curating from the community as much as possible,” Byun said.

There will be plenty of food and shopping, including “sogeum-bbang,” or salt bread, tea, handmade candles, soaps and vintage clothing, as well as flash tattoos and burgers and fries from Love Hour. The LA Hwatu-Hanafuda Club will teach visitors about hwatu, the Korean deck of playing cards with roots in Japan. The club will also offer $5 tarot card readings.

Friends & Family Flea, a new market from the team behind Maum Market, will make its debut Saturday in Koreatown.

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Eena Cho, founder of the LA Hwatu-Hanafuda Club, was born and raised in Koreatown. She remembers living with her mother in an apartment on Wilshire Boulevard and Vermont Avenue and volunteering at the senior center near Seoul International Park, where she spent time with older Korean residents.

She also grew up playing go-stop with her grandparents during Korean holidays, like Chuseok and Seollal. 

“That was a big part of my childhood,” said Cho, 24. “Another part is that living in LA where there’s so many different groups of people together, I remember my best friend Maria growing up, she was Mexican, and we would be playmates because both of our parents were working overtime.”

For Cho, joining Friends & Family Flea felt like a natural fit.

“Koreatown is a beautiful diaspora of many different cultures,” Cho said. “And I think that makes Koreatown, Koreatown.”

Friends & Family Flea, a new market from the team behind Maum Market, will make its debut Saturday in Koreatown.

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Courtesy Eena Cho

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The local focus is a big part of what Byun hopes will distinguish Friends & Family from other flea markets and fairs. He said organizers wanted to create something that “intentionally celebrates a specific neighborhood,” in this case, Koreatown. 

For the Koreatown market, that also means highlighting small businesses beyond the restaurants that often get the most attention.

“It’s more about, you know, where do we get our dry cleaning, where do we get our shoes done, or these kinds of services that I think don’t get highlighted as often as maybe restaurants do, but are really core and essential parts of a community business,” Byun said.

Byun’s own history with Koreatown also makes the neighborhood an especially fitting place to start.

His family immigrated to the South Bay from Korea in 2002, when he was 6. He remembers coming to Koreatown with his parents on the weekends for Korean meals and grocery trips.

Byun still thinks of the neighborhood as a second home for Korean immigrants, while appreciating how its community has grown more diverse.

“I’m just really happy to see it become a really beloved neighborhood,” he said.

The market is also giving back locally. Hats sold at the event will benefit the Koreatown Youth and Community Center, Byun said.

And this may not be a one-time run. If Saturday goes well, organizers hope to bring Friends & Family Flea back to Koreatown on a monthly basis. They also plan to offer discounted vendor fees to Koreatown residents.

“I feel like there was so much opportunity for us to really hone in and create something more hyperlocal and also really embed ourselves in the community as well,” Byun said.

When I lived in the UK, I worked on a BBC television show about birding. It was a strange experience as I couldn’t exactly book guests — “Hello Mr. Sparrow, could you be on location for an interview at 2 p.m.?”

So instead I spent a lot of time with the crew climbing up mountains with a large tripod on my shoulder. Did you know there’s a bird in the Scottish Highlands whose plumage turns white in winter to blend in with the snow? (It’s called a ptarmigan. Don’t pronounce the p.)

But it did mean I was attuned to British bird calls. I could hear something and pronounce solemnly: “Ah yes, that’s a lark. And that one's a chaffinch."

Moving to LA meant learning a new set of bird calls

When I moved to the U.S., however, it was a whole other story. I really didn’t recognize any of the bird calls. They were all so different. I just shrugged and figured they were part of the backdrop. But one day recently, a woman told me about a free app and said it was life-changing. "Hmm, I’ll see about that," I thought.

Merlin bird app

It’s called Merlin, from the Cornell Lab of Ornithology, and it’s kind of like Shazam for bird calls. As in, you click it, and it tells you what bird song you can hear around you. When I opened it in my backyard for the first time, a whole orchestra of bird sounds opened up around me. I admit: it was kind of life-changing.

Of course it first picked up a crow, which I know only too well, given its loud, raucous sound. But then it identified a house finch. Huh. Who knew they were in my backyard? And as I listened closely, I realized … I knew that sound! It’s the first thing I hear when I wake up at dawn, lovely and melodic.

The house finch, awakening the day.

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Cornell Lab of Ornithology | Macaulay Library

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So now when I open my eyes in the morning, I say, "Good morning, house finch, communing with fellow beings alive on a vibrant California morning!" It kicks off my day, although I guess I’ve been reading too much Mary Oliver.

The backyard birds you're probably hearing right now

But then other birds I didn’t know would pop up on my phone during the day, with names as intriguing as their calls: the spotted towhee, the orange-crowned warbler, or Cassin’s kingbird.

I mean, they do realize they’re in a backyard in Los Angeles, not some estate in Georgian England? My favorite for a while was the dark-eyed junco. Now we’re talking romantic heroes. Imagine him slyly popping across the apple tree limbs to call to you. Dark-Eyed Junco, at your service.

Dark-eyed junco, at your service.

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Cornell Lab of Ornithology | Macaulay Library

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Meet Swinhoe's white-eye, a non-native bird spreading across SoCal

And then there’s Swinhoe’s white-eye. Which sounds a little like an eye ailment, but there you go. It’s a tiny bright yellow bird with a white ring around each eye. So cute! I first noticed them when there were a bazillion of them in a tree outside my house. It was such an unusual sight that I mentioned it to a woman walking her dog, and we stood there, oohing and aahing, until we both realized we’d oohed a little too much, and it was time to go.

Swinhoe's white-eyes are not native to SoCal, but are thriving.

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Cornell Lab of Ornithology | Macaulay Library

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When I researched them, I was surprised to find they’re not native to SoCal. They’re actually pretty new to the area. There were just a handful in Orange County 20 years ago, probably having been brought over from Asia as pets and escaped. And now, they’re thriving and have spread everywhere from Baja to San Luis Obispo. Who knows where they’ll end up next? If anyone sees a chartreuse cutie in New York, let me know. It'll probably be very tired.

Yes, you can see I’ve become slightly annoying with my newfound bird interest. I’ll be asking my family what they want for dinner, and I’ll say, “Wait, is that the spotted towhee?” and turn to my phone, and my teenager will wrest it out of my hand and say, “Mom, be in the present!” Which is right. But my morning serenade as the birds come online one by one and greet the new day — well, that’s as present as you can be.

During a life cut short at 34, musician Elliott Smith left traces of his legacy in many cities, perhaps most notably in Los Angele

Writer Jamie Fisher spoke with some 140 people for her new book Nobody Broke Your Heart: An Intimate Biography of Elliott Smith.

Even though some of Smith’s painful struggles with addiction and mental health took place in L.A., Fisher said his time in the city wasn’t all bad.

“He was always very suspicious of artifice and then I think he found himself enjoying it more than he thought he would,” said Fisher, who worked as a researcher at the New York Times Magazine for a decade. “He liked how big and expansive the city was: you can just kind of vanish into L.A.”

Smith moved to L.A. in the summer of 1999. He died here about four years later. But in that time he cut some deep grooves into the city, in places from Los Feliz to the San Fernando Valley — if you know where to look.

Snow White Cottages

Take the Snow White Cottages in Los Feliz, lovingly named for their fairytale-like architecture, where Smith once lived.

Fisher said the cottages were run down when the musician moved in. One of her sources said a raccoon threw a roof shingle at Smith’s head.

“It was more of an apartment than a house really. And it was this little community that was tight knit at the time,” Fisher said.

The Roost

On Los Feliz Boulevard, just across the 5 Freeway, is the beloved dive bar The Roost in Atwater Village, a joint Smith memorialized on his album Figure 8 — as a fade out on the track "In the Lost and Found (Honky Beach)/The Roost."

“It’s just this little nod,” Fisher said. “He was always folding the places and people he loved into his music.”

Back in the ‘90s, the place was more of a working-class joint, and one of the more overlooked bars Smith had a penchant for, Fisher said.

“One of the bartenders there who really loved Elliott owns it now,” Fisher said.

Largo

Then, of course, there’s Largo at its old Fairfax location. Fisher said it was a huge part of Smith’s life starting in the late ‘90s, when he spent late nights playing piano with fellow musician Jon Brion.

New Monkey

Motor on over to Van Nuys for New Monkey, a music studio Smith founded where artists are still recording to this day.

Fisher said you can also find equipment that was used to record his final album, From a Basement on the Hill.

Fisher said Smith put the studio together at a point when he was struggling with addiction, in the last years of his life.

“It was really hard for him to write music, but buying broken equipment and repairing it and putting the studio together was something he could focus his energy into,” she said.

Smith wanted New Monkey, Fisher said, to be a place where musicians could affordably access some of the best recording equipment available.

As Smith lived with addiction and other personal issues, he was mentoring younger musicians and making a lifelong impression on artists such as Jim Fairchild from Modest Mouse and Grandaddy, and Aaron Espinoza from Earlimart.

“He was so generous with his time,” Fisher said. “He would show up to Earlimart shows and stand right in the front row and make them all extremely nervous.”

Fisher said she’d braced herself for writing the last chapters of the book about the final years of Smith’s life.

In 2003, Smith died from two stab wounds in his chest — and the case is still open.

Fisher said that despite his addiction and mental health struggles, she was surprised by the many “moments of light” during his time in L.A., from his love of cooking to his mentorship of other musicians and his work on New Monkey.

Figure 8 wall

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Courtesy FMLY used with permission

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The go-to spot for fans to remember Smith is still standing in L.A. — the Figure 8 wall in Silver Lake.

The mural of bending red and black lines famously became the cover art for the Figure 8 album.

More than two decades after his death, the wall is still alive with new memories.

“There’s always new notes from people saying, like, Elliott saved their life or quoting their favorite lyric or saying they wished he was still here,” Fisher said.

Walk through the automatic doors at the Carson Library and you’ll see on your left a 1973 painting called "Dominoes" by John Riddle.

Riddle, a prominent Black artist, has worked in the L.A. County Museum of Art and the Brooklyn Museum, and has been collected by Jesse Jackson and Roberta Flack.

Riddle's work was previously owned by the Golden State Mutual Life Insurance Company in West Adams. Over two decades, the company’s art director, William Pajaud, an L.A. artist himself, carefully collected hundreds of pieces of Black art. Each piece in the collection, Pajaud said, would be a chapter telling the story of African Americans in the U.S. The collection included oil paintings, watercolors, and sculptures in clay, wood and metal.

When Golden State Mutual Life Insurance shut down, the company sold most of the best pieces at a private auction in 2007, with some selling for hundreds of thousands of dollars. L.A. County was able to acquire about 120 works, including Riddle's piece.

To keep the works accessible to the public and free of charge, county officials chose four public libraries and three community centers to show the work. Earlier this year, the county arts department created a new website with a map to make them easier to find. The locations include the Golden State Mutual historic building in West Adams, plus:
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Libraries

• Carson Library (Carson)
• A.C. Bilbrew Library (Willowbrook)
• Masao W. Satow Library (Gardena)
• View Park Bebe Moore Campbell Library (View Park/Windsor Hills)
  

Community centers:

• Curtis Tucker Behavioral Health Center Health Services (Inglewood)
• Willowbrook Senior Center Aging and Disabilities (Willowbrook)
• Mark Ridley-Thomas Behavioral Health Center Health Services (on the Martin Luther King, Jr. Medical Campus).

“All of these are county-owned spaces that are available, accessible to the public and to patrons to be able to live with the works, learn about the works, see the works, learn about the works,” said Kristin Sakoda, director of the Los Angeles County Department of Arts and Culture.

Dominoes by John Riddle. The painting was part of the Golden State Mutual Life Insurance collection but is now part of the Los Angeles County Civic Art Collection.

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Adolfo Guzman-Lopez/LAist

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As you walk past the checkout desk at the Carson Library, toward the teen section, you’ll see another remarkable piece from the county’s holdings. It’s a two-foot-tall sculpture made from one piece of mahogany. It’s called "The Embrace" by artist Elizabeth Catlett, whose work is in the collection of New York’s Museum of Modern Art, among many other institutions. Catlett depicted two people hugging, their faces and bodies fused together, their eyes looking at the viewer.

Detail of El Abrazo (The Embrace) by Elizabeth Catlett.

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In the auction catalogue for the Golden State Collection, Catlett wrote: “I still work figuratively, trying to express emotion through abstract form, color, line, and space. I attempt to reach out to ordinary people who have little or no experience or understanding of art principles, and extend to them what I may feel about a subject."

Ancestral Fragments by Stanley Wilson.

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Adolfo Guzman-Lopez/LAist

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Meanwhile at A.C. Bilbrew Library, north of Compton, there’s a piece by Charles White, who lived in L.A. County for decades and mentored many artists in the region. His paintings and drawings in the 1960s took on the issues of the Black Civil Rights Movement, and that led well-known Black Americans like Nat King Cole and Eartha Kitt to buy his art.

County officials are hopeful that the communities around these neighborhoods enjoy the art’s benefits, including “mental health, in our education, our youth development, our sense of inclusion and belonging,” Sakoda said.